Healthy Chicago2025 - City of Chicago

Healthy Chicago 2025

HEALTHY CHICAGO

2025

Closing Our Life Expectancy Gap

2020?2025

Introduction

1

TABLE OF CONTENTS

Introduction....................................................................................... 4

Healthy Chicago 2.0 to 2025 Roadmap....................................... 9

A Healthy Chicago 2025 Story and Community Health Assessment.................................................. 25

Strengthen Community Capacity and Youth Leadership.............................................................. 28 Improve Systems of Care........................................................ 34 Further the Health and Vibrancy of Neighborhoods.....................................................................40 Transform Policies and Processes to Foster Antiracist, Multicultural Systems............................. 46

Healthy Chicago 2025 Implementation Plan...........................56

Call to Action...................................................................................69

Acknowledgements....................................................................... 74

Advancing racial equity to close Chicago's life expectancy gap

Over the past nine years, the Chicago Department of Public Health (CDPH) and innumerable community partners have created the Healthy Chicago movement ? a broad coalition of people and organizations taking important steps toward a more just, equitable city. Through our most recent health improvement plan, we continue and deepen this work.

Read on for details of our journey. Here's how we'll work together to heal our city and transform systems of power starting now.

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Introduction

5

What makes a

healthy Chicago?

Lori E. Lightfoot Mayor, City of Chicago

Allison Arwady, M.D. Commissioner Chicago Department of Public Health

When we ask people across the city that question, we get many different answers. Some people mention having access to doctors and medicine when they get sick or making healthy choices like eating nutritious food. Others describe safe spaces where they can walk, bike and play. They talk about having a job that pays the bills and a home in a neighborhood where people look out for each other. And they imagine a city where everyone feels safe and welcome ? no matter where they live, what they look like or who they love.

For too many people and communities in Chicago, day-to-day reality doesn't live up to this ideal. The COVID-19 pandemic not only illuminated many of these inequities but also created new health challenges, particularly for Black and Latinx

Chicagoans. As a city we must confront a devastating truth: while life expectancy ticks upward for white Chicagoans, it is falling for everyone else.

Today, a white Chicagoan lives 8.8 years longer on average than a Black Chicagoan.

Between certain communities, the gap widens to 17 years. That is unjust, unacceptable ? and preventable. As protesters marched across the city in response to the murder of George Floyd, we echoed their chants for racial justice.

We believe that every Chicago community has economic and civic assets, rich cultural heritage and resilient people who all deserve the opportunity to lead healthy lives.

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HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap

Healthy Chicago 2025 is a roadmap for how we can make health, racial equity and shared prosperity the hallmarks of our great city.

Closing this life expectancy gap drives the work of the City of Chicago the lived experiences and priorities of community members. The plan

and the Department of Public Health (CDPH). To accomplish that we is a call to action for partners both within and outside of government,

need to understand what's behind the gap.

encouraging everyone to answer this question:

Chronic disease, opioid overdose, gun-related homicide, infant mortality and HIV/infectious disease are the largest contributors.

But their causes are further upstream. To a large extent, the gap reflects the conditions in which people live. Can Chicagoans afford to provide for their families? Do they have hope for a brighter future and does the city work for them? To improve health throughout Chicago, we have to begin there. And we must acknowledge systemic racism as a root cause to be challenged head on.

How can I help make a healthy Chicago?

In ways big or small, we look forward to partnering with you during the next five years. Let's look back in 2025 and say that we met the challenge of this moment and came out healthier in all ways ? more resilient, more economically vibrant and more united than ever before.

If we want to come out of the COVID-19 pandemic a stronger, more resilient city, we must channel our pain into purpose with Healthy Chicago 2025, our most recent community health improvement plan. To be clear, this plan is not a product of CDPH alone; it was developed through more than a year of input from a wide variety of Chicagoans. It embodies a shared vision for health and racial equity that values

Introduction

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This section summarizes our journey to address health and racial inequities in Chicago. You'll read about our work under Healthy Chicago 2.0, findings from the recent community health assessment and a framework for action in the next five years.

This is an outline of where we've been and how we can continue to make change, together.

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HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap

Healthy Chicago 2.0 to 2025 Roadmap

9

Every five years, the Chicago Department of Public Health (CDPH) and a coalition

of local organizations called the Partnership for Healthy Chicago (Partnership)

review data and work with community members to understand the needs and

strengths of our neighborhoods. Then, we work collectively on a plan to

improve community health and well-being.

Looking Back: Healthy Chicago 2.0

In 2016 we launched Healthy Chicago 2.0. The public health system went beyond our usual focus areas like improving treatment or access to care and included action items related to housing, education, public safety, economic development and the built environment ? because we know these are truly at the root of health.

Since then Healthy Chicago 2.0 has guided action not just for CDPH, but for hundreds of partners ? community groups, foundations, hospitals, public agencies and others. The plan includes more than 200 strategies across a broad range of health issues ? a tall order in five years ? and we aren't done yet. All of this important work and more must continue in order to achieve health equity in our city.

That's where Healthy Chicago 2025 comes in.

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HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap

PARTNERSHIP FOR HEALTHY CHICAGO

We are a cross-sector coalition that represents Chicago's vast public health system, working to promote health and racial equity through coordinated action and planning. For a full list of current members, see Acknowledgments.

State and County Governments

City Agencies

Academic Researchers

Community Planning

Healthcare Providers

Cross-sector collaboration

Businesses

Arts and Cuture

Healthy Chicago 2.0 to 2025 Roadmap

Social Services

Policy Advocates

Faith-Based Groups

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Facing Facts: The Life Expectancy Gap in Chicago

Building on the ongoing work of Healthy Chicago 2.0, our plan for the next five years is about closing the racial life expectancy gap. The color of your skin simply should not determine how long you live or your quality of life.

There's nothing natural or inevitable about these trends. We have the power to change them.

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HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap

CHICAGO'S LIFE EXPECTANCY GAP, 2017

85.5

Asian, Non-Latinx

83.1

Latinx

White, Non-Latinx

79.8

Top Five Drivers of the Gap

82.9

Chronic Disease 4.3 years

80.2 80.0

Between 2012 and 2017, life expectancy has been falling for everyone except white, non-Latinx Chicagoans. There is an 8.8 year gap between Black and white Chicagoans.

8.8 year gap

Gun-related Homicide 2.1 years

Black, Non-Latinx

72.6

Infant Mortality 0.7 years

HIV/Infectious Disease 0.5 years

71.4

Opioid Overdose 0.4 years

2012 20132014201520162017 13

HEALTHY CHICAGO 2025 VISION

A city where all people and all communities have power, are free from oppression and are strengthened by equitable access to resources, environments and opportunities that promote optimal health and well-being.

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HEALTHY CHICAGO 2025 Closing Our Life Expectancy Gap

Healthy Chicago 2.0 to 2025 Roadmap

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